Mrs Chrissondria Lynn Mangrum, MA, CCC-SLP is a
Speech-language Pathologist based in Man, West Virginia. Mrs Chrissondria Lynn Mangrum is licensed to practice in West Virginia (license number SLP-0607) and her current practice location is
213 W Mcdonald Ave, Man, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 583-9299.
NPI number for Mrs Chrissondria Lynn Mangrum is 1336364033 and her current mailing address is 213 W Mcdonald Ave, Man, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336364033.
Healthcare Provider's Profile
Full Name | Mrs Chrissondria Lynn Mangrum |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 213 W Mcdonald Ave, Man, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336364033
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Chrissondria Lynn Mangrum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336364033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SLP-0607 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Chrissondria Lynn Mangrum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Chrissondria Lynn Mangrum, MA, CCC-SLP 213 W Mcdonald Ave, Man, WV 25635-1112 Ph: (304) 583-9299 | Mrs Chrissondria Lynn Mangrum, MA, CCC-SLP 213 W Mcdonald Ave, Man, WV 25635-1112 Ph: (304) 583-9299 |
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